Bacterial keratitis is a sight-threatening corneal infection that needs urgent treatment. Prompt intensive antibiotics aim to clear infection and minimise scarring.
Immediate management
Diagnosis is based on examination and sometimes corneal scraping for culture. Treatment usually starts straight away, even before results return.
- Frequent antibiotic eye drops, often hourly at first
- Broad-spectrum or fortified antibiotics chosen for likely organisms
- Pain relief, cycloplegic drops, and close follow-up
- Adjustment of therapy once culture results and response are known
Preventing complications and recurrence
Careful monitoring helps detect thinning, perforation, or spread. After healing, long-term strategies reduce future risk.
- Regular checks for scarring and astigmatism affecting vision
- Safe contact lens habits and avoidance of overnight wear
- Treatment of lid disease or trauma that predisposed to infection
- Protective eyewear for high-risk work or sports
